CCC2 EXAM 3 PRN 1178: QUESTIONS WITH SOLUTIONS
The nurse is caring for the client who is immediately postoperative with a new
ileostomy. What intervention is most important for the nurse to implement at
this time? Right Ans - Provide emotional support.
A 36 year old client who had an ascending colostomy angrily stated. "I don't
want this thing on my body. This bag I have now is not me" Which response is
most appropriate for the nurse to make? Right Ans - What about this
colostomy concerns you the most?
The nurse is providing pre operative care to a client who will undergo ostomy
creation. Which of the following is most regarding ostomies? Right Ans - A
colostomy connects part of the colon to an opening in the abdominal wall.
Type 1 and type 2 diabetes differ in that type 1 diabetes is associated with
which of the following? Right Ans - Insulin dependence
A nurse is caring for a client one day postoperative after a transverse
colostomy. When observing the stoma. Which finding requires the nurses
immediate action? Right Ans - A purplish colored stoma.
The nurse is caring for a client who is recovering from a flare up of crowns
disease. Which of the following should the nurse reinforce? Right Ans -
Increase fiber intake as tolerated.
The nurse is helping discharge a client diagnosed with diverticulitis. Which
instruction should the nurse reinforce? Right Ans - Eat a high fiber diet
Which of the following gastrointestinal disorders is characterized by
hypersensitivy of the bowel wall? Right Ans - IBS Irritable bowel syndrome
Excessive secretion of growth hormones or gigantism. Symptoms? Right
Ans - Enlarge feet
Which type of insulin is considered rapid acting? Right Ans - insulin aspart
, A client on prolonged steroid therapy presents to the clinic with facial
swelling. Enlarged abdomen and hypertension. Which condition does the
nurse suspect? Right Ans - Cushing syndrome
Which of the following is the most appropriate nursing intervention for a
client diagnosed with diabetes insipidus? Right Ans - Monitor intake and
output
The nurse notes that the HBA1c level of an assigned client demonstrated a
drop from 9.4% to 5.4%. What do those findings indicate? Right Ans - The
clients blood glucose control has improved over the past few months
After administering prescribed insulin to a client with diabetes mellitus. The
nurse monitors for hyperglycemia. Which of the following are signs and
symptoms of hypoglycemia? SELECT ALL THAT APPLY Right Ans - Anixety
Tremors
Tachycradia
Hunger
to receive IV vancomycin 1 g in 200 ml D5W at a rate of 10 mg/ min. At what
rate will you set the IV infusion pump? Right Ans - 120 mL/hr
The ED nurse is caring for a client with the right lower quadrant pain and
muscle guarding. The clients temperature is 100.5 degrees, and they report
nausea and vomiting. Which of the following does the nurse suspect? Right
Ans - Appendicitis
A client with type 1 diabetes mellitus is preparing for a moderate 30 minute
exercise period. Which action best indicates that the client understands
condition management? Right Ans - The client consumes a simple
carbohydrate snack after 30 minutes of activity.
A client is being evaluated by the healthcare provider for possible
hyperthyroidism. The nurse notes which of the following symptoms that
support a diagnosis of hyperthyroidism? SELECT ALL THAT APPLY Right
Ans - Nervousness
Weightloss
Insomnia
The nurse is caring for the client who is immediately postoperative with a new
ileostomy. What intervention is most important for the nurse to implement at
this time? Right Ans - Provide emotional support.
A 36 year old client who had an ascending colostomy angrily stated. "I don't
want this thing on my body. This bag I have now is not me" Which response is
most appropriate for the nurse to make? Right Ans - What about this
colostomy concerns you the most?
The nurse is providing pre operative care to a client who will undergo ostomy
creation. Which of the following is most regarding ostomies? Right Ans - A
colostomy connects part of the colon to an opening in the abdominal wall.
Type 1 and type 2 diabetes differ in that type 1 diabetes is associated with
which of the following? Right Ans - Insulin dependence
A nurse is caring for a client one day postoperative after a transverse
colostomy. When observing the stoma. Which finding requires the nurses
immediate action? Right Ans - A purplish colored stoma.
The nurse is caring for a client who is recovering from a flare up of crowns
disease. Which of the following should the nurse reinforce? Right Ans -
Increase fiber intake as tolerated.
The nurse is helping discharge a client diagnosed with diverticulitis. Which
instruction should the nurse reinforce? Right Ans - Eat a high fiber diet
Which of the following gastrointestinal disorders is characterized by
hypersensitivy of the bowel wall? Right Ans - IBS Irritable bowel syndrome
Excessive secretion of growth hormones or gigantism. Symptoms? Right
Ans - Enlarge feet
Which type of insulin is considered rapid acting? Right Ans - insulin aspart
, A client on prolonged steroid therapy presents to the clinic with facial
swelling. Enlarged abdomen and hypertension. Which condition does the
nurse suspect? Right Ans - Cushing syndrome
Which of the following is the most appropriate nursing intervention for a
client diagnosed with diabetes insipidus? Right Ans - Monitor intake and
output
The nurse notes that the HBA1c level of an assigned client demonstrated a
drop from 9.4% to 5.4%. What do those findings indicate? Right Ans - The
clients blood glucose control has improved over the past few months
After administering prescribed insulin to a client with diabetes mellitus. The
nurse monitors for hyperglycemia. Which of the following are signs and
symptoms of hypoglycemia? SELECT ALL THAT APPLY Right Ans - Anixety
Tremors
Tachycradia
Hunger
to receive IV vancomycin 1 g in 200 ml D5W at a rate of 10 mg/ min. At what
rate will you set the IV infusion pump? Right Ans - 120 mL/hr
The ED nurse is caring for a client with the right lower quadrant pain and
muscle guarding. The clients temperature is 100.5 degrees, and they report
nausea and vomiting. Which of the following does the nurse suspect? Right
Ans - Appendicitis
A client with type 1 diabetes mellitus is preparing for a moderate 30 minute
exercise period. Which action best indicates that the client understands
condition management? Right Ans - The client consumes a simple
carbohydrate snack after 30 minutes of activity.
A client is being evaluated by the healthcare provider for possible
hyperthyroidism. The nurse notes which of the following symptoms that
support a diagnosis of hyperthyroidism? SELECT ALL THAT APPLY Right
Ans - Nervousness
Weightloss
Insomnia
